Disbursement Voucher - SK Format

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DISBURSEMENT VOUCHER DV No.

Barangay: City/Municipality: Date:


Payee: Province: Fund:
Address: TIN: ____________________________
PARTICULARS AMOUNT

A. Certified as to Existence of B. Certified as to Availability of Funds for C. Certified as to Validity, Propriety, and
Appropriation for Obligation. the Purpose, and Completeness and Legality of Claim and Approved for
Propriety of Supporting Documents. Payment

__________________________________ _________________________________ __________________________________


(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
SK Budget Monitoring Officer SK Treasurer SK Chairperson

Date: _________________ Date: _________________ Date: _________________

D. Received Payment

Check No.: _______________________


Bank Name: ______________________ Date: ________________
________________________________ OR No.: __________________________
Signature Over Printed Name

E. Accounting Entries
Account Account Code Debit Credit

Prepared by:

_______________________________ _______________
Barangay Bookkeeper Date

Approved by:

______________________________ _______________
City/Municipal Accountant Date

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